Provider Demographics
NPI:1245509801
Name:FRANKLIN, TERRY LYNN (RPH)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:LYNN
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 MAIN ST
Mailing Address - Street 2:#302
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-4044
Mailing Address - Country:US
Mailing Address - Phone:662-394-5869
Mailing Address - Fax:
Practice Address - Street 1:747 MARTIN LUTHER KING BLVD N
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-2724
Practice Address - Country:US
Practice Address - Phone:662-335-1429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP05931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist